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Thank you for your interest in donating to my campaign — I really appreciate your support. With your financial assistance, I will be able to communicate my message to every voter in Allentown.

You can use the form below to make a donation on-line. If you would rather send a check, please make it payable to “Friends of Ed Pawlowski” and mail your contribution to:

Friends of Ed Pawlowski
PO Box 9366
Allentown, PA 18105

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Pennsylvania law requires every campaign to collect data on occupation and employer from every individual who contributes more than $250 to a candidate in any campaign.

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Paid for by Friends of Ed Pawlowski • 1146 Hamilton St • Allentown, PA 18101 • Phone: 610 351-0367

	NOTE: All fields are required to process your gift.

	Personal Information
	First Name
	Last Name
	Email
	Address

	City
	State
	Zip
	Home Phone

	Is this donation in response to:


	Employment Information
	Pennsylvania state finance laws require that anyone donating over $250 in one calendar year must provide the following employment information:
	Employer
	Occupation
	Employer Address
	Contribution Information
	Amount	$1000 $500 $250 $100 $50 $25 other: $

	Payment Information
	Please use Visa or MasterCard only
	Card Number
	Card Expiration

	Confirm Eligibility
	I confirm that all of the following statements are true and accurate: Pennsylvania law requires every campaign to collect data on occupation and employer from every individual who contributes more than $250 to a candidate in any campaign. This contribution is from my own funds made on a personal credit or debit card for which I have the legal obligation to pay; it is NOT made from the funds of a corporation or labor organization, with a corporate or business entity card, or another person's card. I am at least eighteen years old. I am not a foreign national who lacks permanent residence in the United States.